Grayson College

NPI #1962133496 in Denison, Texas

Provider Information

NPI Number
1962133496
Entity Type
Organization
Organization Name
Grayson College
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
Jun 24, 2022
Last Updated
Jun 24, 2022

Practice Location

Address
6101 GRAYSON DR
State
Texas
ZIP Code
75020-8307
Phone
(972) 367-4845

Authorized Official

Name
MOUZON BASS III
Title
ADMINISTRATOR/AGENT
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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